CLIA lab
CLIA 23D2123462: Henry Ford Lakeside Internal Medicine
Saint Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2123462 belongs to Henry Ford Lakeside Internal Medicine in Saint Clair Shores, MI.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2016
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2123462
- Lab name
- Henry Ford Lakeside Internal Medicine
- Address
- 21000 E 12 Mile Road Suite 105, Saint Clair Shores, MI 48081
- Phone
- (586) 498-3610
- Fax
- (586) 498-3612
Annual test volume the lab reported
- Waived tests
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- City of ST Clair Shores Fire DeptCertificate of Waiver, Rural health clinic23D1081812
- Clinical Research Institute of MichiganCertificate of Waiver, Physician office23D2026097
- Corewell Health Endocrine Clinic -Certificate of Waiver, Physician office23D2069830
- Corewell Health Family Medicine -Certificate of Waiver, Physician office23D0705401
- Corewell Health Family Medicine -Certificate of Waiver, Physician office23D0858241
- Corewell Health Weight Control -Certificate of Waiver, Physician office23D2091568
- Cosmetic Surgeons of MichiganCertificate of Waiver, Ambulatory surgery center23D2030727
Related
Questions
What is the CLIA number for Henry Ford Lakeside Internal Medicine in Saint Clair Shores?
23D2123462, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford Lakeside Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2123462 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.